
It’s completely normal to feel nervous before your first therapy session.
Many people feel a mix of anxiety and hope as the appointment day approaches.
As the day nears, you might feel excited but wonder: “What should I do to prepare? What if I don’t know what to say?”
Therapy is a decisive step toward feeling better, and a little preparation can help ease your nerves and set you up for success.
This guide will walk you through practical steps of how to prepare for your first therapy session, helping you feel more confident and make the most of your time with your Psychologist.
Let’s get started!
Before Your Appointment: Key Steps to Take
Preparing ahead can make your therapy experience smoother. Before you sit down with a Psychologist, you can do a few things to prepare. These steps will help you clarify your thoughts, sort out the logistics, and feel more in control. We’ll break it down into three simple steps:
Step 1: Understand What You Want to Address
Before your session, take some time to reflect on why you’re seeking therapy.
A great way to do this is by jotting down notes about your feelings, thoughts, and behaviours over the past few weeks or days. You don’t need to write pages of detail – even a few bullet points in a notebook or a quick note on your phone can help. For example, you might note that you’ve been feeling overwhelmed at work, snapping at your kids in the evenings, or lying awake at night with racing thoughts. Tracking these patterns in simple terms will give you a clearer picture of what’s bothering you and help you explain these issues to your Psychologist when you meet.
Next, try to set a few goals for therapy. Ask yourself what you hope to gain from the sessions.
- Do you want to learn coping skills for stress?
- Improve your mood or reduce anxiety?
- Communicate better with your partner or children?
Setting clear goals can guide your therapy and keep you motivated. In fact, research shows that goal-setting in treatment can boost your motivation and lead to better outcomes. Your goals don’t have to be extremely specific – they could be as broad as “feel less overwhelmed” or “find time for myself without guilt.” The important thing is that they give you and your Psychologist a sense of direction.
One helpful exercise is to consider the “miracle question.” Imagine that a miracle happens tonight while you’re asleep, and all the problems that bring you to therapy are solved. When you wake up tomorrow, how would you know something changed? What would be different about your day? This classic question encourages you to picture an ideal outcome. For instance, you might wake up feeling refreshed and calm instead of anxious. Your morning routine with the kids might go smoothly, and you drive to work feeling confident. Thinking through these changes highlights what really matters to you – perhaps it’s having calmer mornings, more patience, or feeling in control at work. Sharing this vision with your Psychologist can help them understand your hopes and tailor the sessions to your needs.
Summary for Step 1: Go into your first session with a basic idea of the issues you want to discuss and what you’d love to achieve. You might bring a short list of “things I want to change or improve” and examples of times when you struggled most. Don’t worry about it being perfect – your Psychologist will guide you. The aim is to start the conversation in a meaningful way.
Step 2: Practical Considerations
Now that you’ve considered what you want to address, it’s time to handle the practical details of therapy. This step involves sorting out logistics and personal preferences.
Budget and Scheduling: First, consider your budget for therapy. Consider what you can realistically afford per session and how often you might go (weekly sessions are standard to start). Check if your health insurance covers therapy or, if you’re in Australia, see if you qualify for a Mental Health Care Plan from your GP (which can subsidise some sessions). If cost is a concern, explore options like sliding scale fees (many Psychologists adjust rates based on income) or community and online counselling services that charge less. The key is to find an option that fits your financial situation so you can attend consistently without added money stress.
Next, plan the scheduling. If you’re busy, schedule a time when you won’t be rushed or worrying about the kids – maybe arrange childcare or get your partner’s help during that hour. Also, pick a time of day when you have decent energy. A morning or lunch-hour session might work better if you’re exhausted in the evenings. It’s usually best to avoid doing therapy at the tail end of an extremely long, tiring day. And if you can, give yourself a little buffer before and after the session. Having a few minutes beforehand to collect your thoughts and some time afterwards to decompress can help you process the experience. Therapy involves a lot of talking and can be tiring.
Psychologist Preferences: Consider what kind of Psychologist might make you most comfortable. Psychologists vary in gender, age, cultural background, and style, and it’s okay to have preferences. Some people feel more at ease with a female or male Psychologist or someone with similar backgrounds or values. Also, consider your preferred therapy style: maybe you’d like a warm, empathetic counsellor who mainly listens or a more direct coaching style that gives you active feedback and homework. There’s no wrong answer – it’s about what you think will help you open up and stay engaged. Also, decide if you’d like in-person or online sessions. Online therapy can save travel time and let you attend from home, while in-person sessions provide face-to-face connection and a change of scenery.
Choose what feels right for you.
Summary for Step 2: Take care of the practical details. Figure out how you’ll pay for therapy (and use any insurance or support available), pick a time that fits your life, and consider the kind of Psychologist and setting where you’d feel most at ease. By handling these details now, you’ll have fewer distractions when it’s time for your first session.
Step 3: Initial Contact
You’ve clarified your goals and sorted out the practical stuff – now it’s time to reach out and set up that first appointment. Making initial contact with a Psychologist might feel intimidating, but remember: Psychologists are used to new clients, and they know you might be nervous.
If you’ve found a Psychologist you’re interested in, see if they offer a free phone consultation (many do, often 10–15 minutes). This is a chance to speak briefly, ask questions, and understand their personality. Suppose no phone consult is listed, or you’re unsure. In that case, you can always email to ask—introduce yourself, mention you’re considering therapy, and ask whether they offer a quick phone chat or if you can ask a few questions by email instead. Most Psychologists will happily reply and guide you through the following steps.
This is a chance to ask questions and understand their personality. It’s perfectly okay to approach a couple of Psychologists before deciding—you want someone who seems like a good match.
In this intro, you don’t have to go into deep detail; share a quick overview of why you’re seeking help (“I’m a working parent feeling burnt out and anxious, and I want to manage stress better,” for example). Then, see how they respond. Do they seem empathetic? Do they answer your questions clearly? Trust your instincts to decide whether you might click with this person.
Don’t hesitate to ask questions during a consult call or in an initial email. You are interviewing the Psychologist to see if they’re right for you. Here are some questions you might consider:
- “What are your fees, and do you offer a sliding scale?” – Knowing the cost upfront and learning about any flexible pricing is essential.
- “What is your approach, and what is a typical session like?” – Psychologists have different methods (some are more structured, some more open-ended). This gives you an idea of what to expect and whether it suits you.
- “Do you have experience helping people with issues like mine?” – It’s reassuring to know the Psychologist has worked with others facing similar challenges. For example, you could ask if they have experience with stressed-out parents or whatever your primary concern is.
- “When are you available to meet?” – Make sure their schedule aligns with yours (for instance, if you need evening appointments after the kids are in bed).
If you have any other priorities or concerns, also bring them up. For instance, if you strongly prefer video sessions over in-person or have specific goals you want to focus on, let the Psychologist know. Also, feel free to ask about their credentials or qualifications if that isn’t clear from their profile. A qualified Psychologist will be happy to share their professional background.
Asking these questions isn’t pushy – it’s being an informed client. Psychologists appreciate when clients are proactive and engaged. By the end of this initial contact (or contacts, if you speak to a few Psychologists), you should have an appointment set and a sense that this person is someone you can talk to. If something feels off, it’s okay to look for someone else. You want a Psychologist who makes you feel comfortable and understood from the start.
What to Expect During Your First Therapy Session
The day has arrived. You’ve done your prep work, and now you’re walking into the Psychologist’s office (or joining the video call) for your first session. It’s normal to still have some butterflies in your stomach, but knowing what usually happens can help put you at ease. Here’s what you can typically expect:
Introductions and Confidentiality: At the start, your Psychologist usually takes a few minutes for introductions and housekeeping. They might go over confidentiality and privacy, explaining that what you share in therapy stays private (with a few exceptions for safety or legal reasons, which they will outline). This confidentiality is a cornerstone of treatment and protects you so you can speak freely. The Psychologist may also mention how the sessions work – the length (about 50 minutes), how payment is handled if it wasn’t already, or that they might take some notes. This part is usually brief but essential, setting the stage for a safe and professional space.
Starting the Conversation: Next comes the big question: “What brings you here today?” Psychologists often open the floor for you to share your thoughts. If you’re unsure how to start, it’s okay to admit that – the Psychologist will guide you with questions. You might begin with whatever bothers you most or a general statement like, “I’ve been feeling overwhelmed, and I’m not sure what to do.” From there, the Psychologist will ask follow-up questions to understand your situation better. They might ask:
- “How long have you been dealing with this?” – to learn if it’s a recent problem or something you’ve struggled with for a while.
- “What is your home or family situation like?” – because your responsibilities and support system at home can significantly affect your stress and well-being.
- “What do you hope to get from therapy?” – to understand your goals and expectations.
Don’t worry if you don’t have perfect answers. The Psychologist isn’t there to judge you; they’re gathering information to help figure out the best way to support you. If they ask something you’re not ready to discuss, it’s okay to say you’d prefer to return to it later. You’re allowed to set boundaries. Being honest about what you are feeling and going through (even if it’s hard to put into words) will help the process – trust is a key part of therapy, and openness with your Psychologist makes positive change more likely. Remember, they’re there to help you, not to criticise.
Riding the Emotions: You might experience strong emotions during this first session – and that’s alright. It’s not unusual to feel a bit teary or vulnerable when you finally talk about things that have been weighing on you. If you tear up, that’s completely okay – Psychologists expect it (they often have tissues handy!). Showing emotion means you’re touching on important issues. Sometimes, you might feel a little worse before you start feeling better simply because you’re finally confronting hard feelings, but that’s often a step forward. If you do feel overwhelmed, let your Psychologist know so you can slow down or take a short break. Remember, it’s okay to go at your own pace.
Collaborative Plan: During the first session, your Psychologist will usually help outline a plan for moving forward. They might summarise the key issues you’ve described to ensure they’ve got it right, and then together, you’ll discuss how to tackle them. For example, you might both decide to focus on managing anxiety or improving communication at home. You can also talk about the format of future sessions – perhaps agreeing to meet weekly to start. Some Psychologists give a minor homework assignment at the end of the first session. This could be something like “try writing down your stressful thoughts this week” or “practice a breathing exercise each evening.” These tasks are meant to help you between sessions, but they’re not mandatory homework – if you don’t get to them, that’s okay. They’re just extra tools to support your progress.
After the Session – Reflect and Recharge: When your first session wraps up, take a moment to acknowledge what you’ve done. You took a brave step and dedicated time to work on you. It’s normal to feel a mix of emotions afterwards – maybe relieved and hopeful, perhaps a bit drained or anxious about what’s next. Try to give yourself a few minutes after the session to decompress before jumping back into daily life. Later on, think about how the session went. Did you feel comfortable with the Psychologist? Did you feel heard and understood? If yes, that’s a great sign you’re on the right track. If not, you might consider trying a different Psychologist – finding the right fit can take a little trial and error. The important thing is to continue therapy with someone you trust.
Conclusion
Walking into that first therapy session can be daunting, but preparation truly makes a difference. By understanding what you want to address, handling the practical details, and finding a Psychologist who feels right for you, you’ve set yourself up for a positive start. Therapy is a team effort – you and your Psychologist will work together, and it may take a few sessions to build momentum, so be patient with yourself. Remember that the fit matters: if you don’t feel comfortable or supported after a couple of sessions, it’s perfectly okay to try a different Psychologist. The goal is to find someone you trust and connect with.
Above all, remind yourself that seeking help is a brave and positive move. You are taking vital time to care for yourself. That’s not selfish – it’s necessary. As you start feeling better, you’ll likely have more energy for your family and work. So take a deep breath and confidently step into that office (or log into the session). You’re on your way toward more harmony, fulfilment, and control in your life.
References
- Psychology Today (n.d.). ‘How to Prepare for Your First Therapy Session’. Available at: https://www.psychologytoday.com/us/basics/therapy/how-prepare-your-first-therapy-session (Accessed: 4 April 2025).Psychology Today
- Lifeline (n.d.). ‘What to Expect in Your First Therapy Session’. Available at: https://toolkit.lifeline.org.au/articles/general/what-to-expect-in-your-first-therapy-session (Accessed: 4 April 2025).toolkit.lifeline.org.au+4toolkit.lifeline.org.au+4toolkit.lifeline.org.au+4
- The Guardian (2025). ‘‘Be picky’: how to start therapy’. Available at: https://www.theguardian.com/wellness/2025/jan/23/how-to-start-therapy (Accessed: 4 April 2025).The Guardian
- Time (2025). ‘What to Expect at Your First Therapy Session’. Available at: https://time.com/7201659/what-to-expect-therapy/ (Accessed: 4 April 2025).